Individual
LANELLE SHELLEMIAH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1701 NE 164TH ST, SUITE 200, NORTH MIAMI BEACH, FL 33162-4018
(305) 947-0027
(305) 945-8734
Mailing address
5333 N DIXIE HWY, 101, OAKLAND PARK, FL 33334-3414
(954) 493-5033
(954) 493-5058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20845
BLUE CROSS BLUE SHIELD
FL
01
—
410045724
RAILROAD MEDICARE
FL
01
—
410045725
RAILROAD MEDICARE
FL
05
—
620413900
—
FL
Enumeration date
10/21/2005
Last updated
10/14/2010
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